Individual provider Active NPI

Deanna M. Coschignano, PH.D.

  • Psychologist
  • Fort Carson, CO
National Provider Identifier
1831121318
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2769 Issued in CO
Practice address
1650 Cochrane Circle
Fort Carson, CO 80913-1411
Phone
(719) 526-5371
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2769 CO Primary

Addresses

Primary practice location

1650 Cochrane Circle
Fort Carson, CO 80913-1411

Mailing address

1650 Cochrane Cir
Fort Carson, CO 80913-4603
Phone (719) 357-0207

Other identifiers 2

IdentifierTypeStateIssuer
2769OtherCOPSYCHOLOGY LICENSE
1156OtherHIPSYCHOLOGY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2769COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Darien Wellness CurrentSince Oct 7, 2024 Accepting new patients

Locations

1434 Spruce St
Boulder, CO 80302
Phone (303) 817-3189

30 Old Kings Hwy S
Darien, CT 06820
Phone (203) 654-9094

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1831121318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134603",
            "telephone_number": "719-357-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIRCLE",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809131411",
            "telephone_number": "719-526-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSCHIGNANO",
        "first_name": "DEANNA",
        "middle_name": "M.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "2769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "2769",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "1156",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Carson, CO

Sources for this page

Verify at the official NPI Registry.